" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

March 14, 2012


·  CMS Deletes Nerve Block Edits in Response to ASIPP Letter

·  IPM: Future Strategies and Emerging Technologies - ASIPP 14th Annual meeting

·  Panel to Examine Doc Pay Issues

·  Time is Running out To Registor for Intermediate and Advanced Spinal Cord Stimulation Course in April

·  Deadline Approaching to Apply to Take the ABIPP Part II Exam

·  Purchase Your Patient Copies of PAIN-WISE Today

·  Physicians Push Back Against Nurse Practitioners in Fight for Independent Practice

·  FDA and Industry Not Waiting for Congress on Drug Shortages

·  You Can Earn 14.75 CMEs in Imaging, Fluoroscopy and Radiation Safety this April

·  FDA Panel Says 'Yes' to Pain Drug Studies

·  Postop Opioids May Be Used over Longer Term

·  HHS settles HIPAA case with BCBST for $1.5 million

·  'Doc Fixes' Help Slow Growth of Medicare Spending

·  State Society News

·  Physicians Wanted

CMS Deletes Nerve Block Edits in Response to ASIPP Letter

On January 27 ASIPP responded to NCCI Medical Director, Niles Rosen, MD regarding corrections to the first quarter NCCI edits (version 18.0) which contained changes that had serious implications to nerve blocks. We are happy to share the favorable response we received in a letter dated March 7. CMS agreed to delete many of the edits ASIPP identified as being incorrect.

Please see the list edits CMS has agreed to delete in Attachment A of the letter from Dr. Rosen.

ASIPP's letter to Dr. Rosen.

IPM: Future Strategies and Emerging Technologies - ASIPP 14th Annual meeting

Join us at ASIPP 14th Annual Meeting in Arlington, VA, June 9 - 13th as we will look into the future by delving into strategies and the emerging technology in interventional pain management. These cutting-edge topics will be presented by a faculty comprised of the top minds of and authorities in IPM.

ASIPP has a reputation for thought-provoking, cutting-edge general sessions and this year is no exception. On Saturday, June 9 our general session distinguished lecture, "Evolving Concepts in Pain Medicine," will be given by Dr. Timothy Deer who will cover an array of interesting emerging technology projects. Sunday, June 10 we will cover "Guideline Warfare in Interventional Pain Management: Fact, Fiction, and Reality." In the session we will consider, analyze, and discuss the various guidelines. We are pleased to have Dr. Dana Simon join us with the lecture "What to the ASA/ASRA Guidelines Tell Us?" along with Dr. Marc Huntoon with a lecture on "The Critical Analysis of Guidelines in IPM." In addition, the session, moderated by Dr. Joshua Hirsch, will include lectures and discussions by Dr. Laxmaiah Manchikanti, Dr. Peter Staats, and Dr. Gabor Racz.

Breakout session topics include: Emerging technology in IPM including MILD, SCS, and intrathecal therapies; practice management, documentation, billing and coding; Imaging of the spine; ultrasound for non-spinal injections; controlled substance use and abuse; guidelines warfare, residents and fellows section; and abstract/poster presentations.

On Monday, June 11, we will once again hold the legislative session portion of our meeting featuring a grassroots approach to preparing for our Capitol Hill visits on Tuesday, June 12, and Wednesday, June 13.

CAPITAL HILL SPECIAL: ASIPP will reimburse the hotel expense for registrants who attend the Congressional Speakers' session on Tuesday and the Capitol Hill visits on Tuesday and Wednesday (room and tax only for Monday and Tuesday nights only).

Register by April 27 to receive $100 off your registration.

Don't miss this year's exciting meeting! Watch for updates and announcements over the coming weeks.

Register today!

Panel to Examine Doc Pay Issues

WASHINGTON -- A new independent panel, made up mostly of doctors, will tackle the thorny issue of physician pay, but it won't be dealing with the sustainable growth rate issue.

The Society of General Internal Medicine (SGIM) announced Monday that it's launching the National Commission on Physician Payment Reform to assess physician payment issues and to develop recommendations on how to reform the doctor payment system while keeping costs in check and improving patient care.

Former senator Bill Frist, MD, a surgeon, will be the honorary chair of the panel, which will "assess how physicians are paid, as well as potential impacts of proposed health care payment models such as accountable care organizations, patient-centered medical homes and value-based purchasing," according to a press release from SGIM.

MedPage Today

Time is Running out To Register for Intermediate and Advanced Spinal Cord Stimulation Course in April

Join us in April for a rare opportunity to learn advanced procedures and emerging technology in Spinal Cord Stimulation. This ASIPP Comprehensive Review Course and Cadaver Workshop will take place on April 13-14 in Memphis, TN.

The in-depth review course and cadaver workshop will cover intermediate and advanced topics and procedures that are rarely taught in other courses. Participation is limited to assure optimum experience for every physician. Each station will provide the latest SCS technology:

  • New Leads
  • New Anchors
  • New Programming Platforms
  • New Lead Placement Devices
  • And more!

This is an excellent opportunity for physicians to compare products side-by-side while at the same time learning about the very latest science and engineering. You will be exposed to occipital stimulation techniques, cervical, thoracic, DRG, and sacral placement techniques, and more.

The seminar will be conducted at the Hilton Memphis and the world renowned Medical Education and Research Institute (MERI) in Memphis, TN.

Click HERE to view brochure

Click HERE to register

April SCS Course in Memphis

Deadline Approaching to Apply to Take the ABIPP Part II Exam

The deadline to apply for the April test dates for the American Board of Interventional Pain Physicians is Saturday, March 31.

The test will be held April 14 and 15 in Memphis, TN.

The American Board of Interventional Pain Physicians (ABIPP) is a Specialty Board providing Board Certification in Interventional Pain Management and Competency Certification in Controlled Substance Management, Competency Certification in Coding, Compliance, and Practice Management and Competency Certification in Fluoroscopic Interpretation and Radiological Safety.

The eligibility requirements and examination materials for ABIPP certification programs have been developed based on substantial review and analysis of the current state of medical and scientific knowledge of the treatment of pain, as reflected in the medical literature.

Apply today!

Purchase Your Patient Copies of PAIN-WISE Today


ASIPP is pleased to announce the newly published patient education book, PAIN-WISE. It is the perfect tool to provide your patients the reliable information they need and deserve.

PAIN-WISE includes complete and authoritative information for your patients including:

  • Identification of various parts of the body that can cause pain, using a simple anatomy guide Tips for getting the most out of doctor's visits * Basic explanations of common interventional pain management techniques * Information on minimally invasive surgery techniques
  • Explanation of implantable therapies for the treatment of severe chronic pain

Written by three ASIPP members, PAIN-WISE was edited for clarity and conciseness and features numerous illustrations and photographs to help your patients better understand their diagnosis and treatment protocols.

PAIN-WISE is a comprehensive and affordable publication you can offer to your patients to help educate them on their path to wellness.

Here's How to Order

To enable ASIPP members to provide a copy of PAIN-WISE to each patient in their care, ASIPP has made available through the publisher, a very special discount. You can purchase these books at a discounted price of up to 50% off the $15 retail price. Your cost for this must-have ASIPP patient education initiative can be as low as $7.50 per copy plus shipping and handling when purchased in quantity.

Follow the link today to order online at www.hatherleigh.com or call toll-free 1-800-367-2550 to place your order by phone. (All royalties from sales of PAIN-WISE go to a national media campaign about pain awareness supported by ASIPP.)

Physicians Push Back Against Nurse Practitioners in Fight for Independent Practice

Nurse practitioners continue to push for the right to practice independently, without physician supervision, according to a
Healthcare Finance News report.

States considering legislation to allow NPs to practice independently are experiencing significant controversy around the issue, according to the report. At the end of 2011, the American Academy of Family Physicians announced that its Texas chapter had succeeded in preventing an attempt by the state's NPs to push through legislation allowing them to practice independently.


Becker's ASC review

FDA and Industry Not Waiting for Congress on Drug Shortages

Washington -- Pending legislation in Congress and efforts by the private sector aimed at reducing national drug shortages largely aim to improve communication among manufacturers, distributors, federal regulators, hospitals and physicians to prevent supply problems from arising in the first place.

Reducing drug shortages remains a high priority for congressional leaders. Lawmakers have released three drug shortage bills, and at least one more is in the draft stage. Congressional committees continue to hold regular hearings on the issue. Language on shortages is expected to be included in a reauthorization of the Prescription Drug User Fee Act, which is set to expire at the end of September.

AMA news

You Can Earn 14.75 CMEs in Imaging, Fluoroscopy and Radiation Safety this April

Register today to attend the Imaging, Fluoroscopy and Radiation Safety Course and Competency Examination April 13-15 in Memphis, TN.

This course provides educational information on fluoroscopy radiation risks and methods to reduce these risks to both patient and personnel, fluoroscopic interpretation, appropriate needle placement, medical and legal compliance, and billing and coding. Participants will benefit from the course by improving existing skills, learning new skills, or prepare for the interventional techniques certification examination, or prepare for the board examination.

This course is an essential component for interventional pain physicians and provides educational opportunities to assist you in providing high quality, competent, safe, accessible, and cost-efficient services to your patients. The accompanying examination (open to physicians only) and this course, as with all ASIPP courses, focuses on doing the right things, the right way, and for the right reasons

Fluoroscopy and Radiation Safety (Apr. 13-14) Click HERE to register

Competency Examination - (Apr 15) *open only to physician)

Click HERE to register

Register for Imaging, Fluoroscopy Course

FDA Panel Says 'Yes' to Pain Drug Studies

SILVER SPRING, Md. -- An FDA advisory committee has voted 21-0 that the investigational anti-nerve growth factor (anti-NGF) drug class should continue to be developed for pain treatment, despite the drug class's link to joint-related adverse events.

There are no anti-NGF drugs currently approved, but three companies are deep into their development programs, testing the safety and efficacy of the drug class to treat a variety of pain, including pain associated with osteoarthritis, chronic lower back pain, diabetic peripheral neuropathy, post-herpetic neuralgia, chronic pancreatitis, endometriosis, interstitial cystitis, vertebral fracture, thermal injury, and cancer.

MedPage Today

Postop Opioids May Be Used over Longer Term

Opioid use after minor surgery significantly increased the likelihood of opioid use a year later among older, opioid-naive patients, Canadian investigators reported.

Patients who received opioids within seven days of surgery were 44% more likely to be using opioids a year later. Use of non-steroidal anti-inflammatory drugs (NSAIDs) after minor surgery was associated with a nearly fourfold increase in use a year later.

MedPage Today

HHS settles HIPAA case with BCBST for $1.5 million

Blue Cross Blue Shield of Tennessee (BCBST) has agreed to pay the U.S. Department of Health and Human Services (HHS) $1,500,000 to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules, Leon Rodriguez, Director of the HHS Office for Civil Rights (OCR), announced today. BCBST has also agreed to a corrective action plan to address gaps in its HIPAA compliance program. The enforcement action is the first resulting from a breach report required by the Health Information Technology for Economic and Clinical Health (HITECH) Act Breach Notification Rule.

The investigation followed a notice submitted by BCBST to HHS reporting that 57 unencrypted computer hard drives were stolen from a leased facility in Tennessee. The drives contained the protected health information (PHI) of over 1 million individuals, including member names, social security numbers, diagnosis codes, dates of birth, and health plan identification numbers. OCR's investigation indicated BCBST failed to implement appropriate administrative safeguards to adequately protect information remaining at the leased facility by not performing the required security evaluation in response to operational changes. In addition, the investigation showed a failure to implement appropriate physical safeguards by not having adequate facility access controls; both of these safeguards are required by the HIPAA Security Rule.


'Doc Fixes' Help Slow Growth of Medicare Spending

March 7, 2012 - "Runaway" is an adjective commonly used to describe Medicare spending, but its growth has slowed down recently, and not just because the economy went into recession a few years back, according to a perspective article
published online March 7 in the New England Journal of Medicine.

Authors Chapin White, PhD, and Paul Ginsburg, PhD, write that the slowdown also reflects a long-term trend in tighter Medicare payment policies. These include a series of Congressional overrides - "doc fixes" - of rate reductions dictated by Medicare's sustainable growth rate (SGR) formula, the latest of which was passed February 17. While sparing physicians enormous fiscal pain, these temporary solutions nevertheless have caused payment rates to trail inflation. The SGR formula calls for another cut estimated at 32% on January 1, 2013. Organized medicine prophesies a mass physician exodus from Medicare unless Congress acts to avert the cut.

Medscape Today

State Society News

GSIPP 8th Annual Pain Summit, May 4-6, 2012

The Georgia Society of Interventional Pain Physicians will host its 8th annual Pain Summit on May 4-6, 2012 at teh Ritz-Carlton Lodge on Reynolds Plantation.

On Friday, May 4, there will be an all-day session on Chronic Opioid Therapy in Chronic Pain Management

To register go to: www.gsipp.com

FSIPP Annual Meeting Dates May 18-20, 2012

The Florida Society of Interventional Pain Physicians has set the date for their next annual meeting for May 18-20, 2012 at the Gaylord Palms, Orlando, FL.

Read more about the meeting and other activities going on in the state of Florida in their newsletter. Click HERE to read latest issue.

For a complete look at the May meeting schedule and CME information, click HERE

CASIPP Annual Meeting Dates Nov. 9-11, 2012

The California Society of Interventional Pain Physicians Annual Meeting of the will be Nov. 9 -11, 2012 at the Pelican Hill Resort in Newport Beach, CA.

Go to www.casipp.com for more information.

Physicians Wanted

Visit the ASIPP Web site to find available positions for IPM physicians.

Physicians Wanted




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American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org